E-Gen LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3001024 Issued in IL

Legal business name

E-GEN LLC

Doing business as

Nurse Next Door

Practice address

610 Heritage CT
Naperville, IL 60565-3393

Phone

(630) 560-1169

Fax

(630) 560-1105

NPI assigned

Aug 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Simonton

Title

President

Phone

(331) 202-7697

Specialties & licenses 2

Addresses

Other names 1

• Nurse Next Door Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1144653684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HERITAGE CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653393",
            "telephone_number": "630-560-1169",
            "fax_number": "630-560-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HERITAGE CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653393",
            "telephone_number": "630-560-1169",
            "fax_number": "630-560-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-GEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "SIMONTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-202-7697"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000423",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Next Door",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Naperville, IL
• Providers in Naperville, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.